Provider Demographics
NPI:1740585231
Name:SMITKIN, KATE V (MS OTR/L CHT)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:V
Last Name:SMITKIN
Suffix:
Gender:F
Credentials:MS OTR/L CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 GLEN ST
Mailing Address - Street 2:SUITE 3 D
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4422
Mailing Address - Country:US
Mailing Address - Phone:518-223-0119
Mailing Address - Fax:866-317-3447
Practice Address - Street 1:100 GLEN ST
Practice Address - Street 2:SUITE 3 D
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4422
Practice Address - Country:US
Practice Address - Phone:518-223-0119
Practice Address - Fax:866-317-3447
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013495225XH1200X
NY013495-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6601520001OtherDMERC
NY6601520001OtherDMERC